Inspection·January 20, 2026

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to ensure resident equipment was maintained for two (R3, R4) of five residents reviewed for safe/clean/homelike in the sample of five.The findings include:1 R3's admission Record shows he was admitted to the facility on [DATE] with diagnoses including chronic respiratory failures, venous insufficiency, lymphedema, morbid obesity, fluid overload, cellulitis of right lower limb, bed confinement status, and stage 4 pressure injury of the sacral region.R3 Minimum Data Set (MDS) dated [DATE], shows that he is cognitively intact.On January 20, 2026 at 10:54 AM, R3 said the right siderail on his bed is loose. R3 moved the right siderail and it moved side to side. R3 said he let the facility know about it about a week ago, and they haven't fixed it yet. R3 said he needs to use his side rails in order to roll from side to side. On January 20, 2026 at 11:15 AM, V7 Maintenance Director said the facility does not use work orders. If a resident needs something fixed, receptionist or staff will get ahold of maintenance and tell them. V7 said the facility does not keep track of when something was requested and when it was repaired/completed. V7 said he was aware that R3's side rail was loose and said that R3's side rail was on the list of things to work on. V7 said he was told about the loose side rail late yesterday (January 19, 2026).2 R4's admission Record shows he was admitted to the facility on [DATE] with diagnoses including type II diabetes mellitus, chronic kidney disease, anemia, restless legs syndrome, adjustment insomnia, glaucoma, and acquired absence of right leg blow knee.R4's MDS dated [DATE], shows he is cognitively intact.On January 20, 2026 at 10:40 AM, R4 said he has been waiting for maintenance to fix the right arm rest on his wheelchair. R4 said he was waiting for a shorter armrest. R4 said it is too long and R4 scratched his right forearm on the metal of the armrest because he uses his arms to propel the wheelchair. R4's right arm rest on his wheelchair had a cushioned piece. The cushioned piece was hanging off the back about 5-6 inches. There was metal underneath the cushioned piece. R4 had a scrape on his right forearm. The left armrest did not have the cushioned piece. R4 said he reported this concern a couple of weeks ago. On January 20, 2026 at 11:15 AM, V7 Maintenance Director said there was nothing wrong with R4's armrest. V7 said that R4 wanted a shorter arm rest to match the left armrest. V7 said he is waiting for a replacement arm rest. V7 said he received R4's concern about a week ago. The facility's Preventative Maintenance Program Policy dated January 2025 shows, Purpose: To conduct regular environmental tours/safety audits to identify areas of concern within the facility. Preventative Maintenance Program will review the following areas during random rounds: Resident equipment is in working order. Bed rails are in working condition. Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145234 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145234 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pearl Pointe Nursing Rehab & Care 900 South Kiwanis Drive Freeport, IL 61032 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)